Abstract
Emergency endoscopy was performed under general anesthesia in 2 neonates who required hemostasis due to upper gastrointestinal bleeding. The neonates had vomited associated with hematemesis. In both cases, multiple mucosal lesions, including hemorrhagic ulcers, were seen in the stomach. Hemoclips were applied to these protruding vessels and the bleeding was controlled successfully. Although endoscopic clipping proved useful in both cases, careful and judicious manipulation of the endoscope was required with particular allowances due to the fact that the procedure was being done in neonates.
To improve the safety endoscopic intervention in neonates, the development of a small-diameter fiber-endoscope and the improvement of the peripheral equipment are required. In addition, a coordinated system of neonatal intensive care delivery is vital for the delivery of prompt medical care to critically ill infants.
